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Coronavirus COVID-19 risk increased to 'very high' but containment still possible – UN News

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The development comes as WHO Director-General Tedros Adhanom Ghebreyesus welcomed data showing that in the past 24 hours, China had recorded its lowest number of cases in more than a month (329), with 78,959 cases in total.

More than 36,000 people have also recovered from COVID-19 in China alone, WHO said.

Fear, rumour and stigma the greatest enemy

Speaking to the international press on Friday,  UN chief António Guterres called on all governments to step up and do everything possible to contain the disease, without stigmatization, and respecting human rights, and appealed for solidarity, and full global support.

Echoing the words of Tedros, the Secretary-General emphasized the importance of preparation, rather than panic, and declared that the “greatest enemy right now is not the virus.  It’s fear, rumors and stigma”.

Global spread continues

The rest of the world has continued to show an uptick in infections, however, with 4,351 cases confirmed in 49 countries and 67 deaths as of 6am in Geneva.

Tedros said that although the increase in the number of cases and affected countries in recent days was concerning, there was no evidence of the virus spreading freely in communities.

He added that 24 cases of infection had been exported from Italy to 14 countries and 97 cases had found their way from Iran to 11 countries.

“The continued increase in the number of cases and the number of affected countries over the last few days are clearly of concern,” he said. “Our epidemiologists have been monitoring these developments continuously and we have now increased our assessment of the risk of spread and the risk of impact of COVID-19 to very high at global level.”          

First sub-Saharan case in Africa

In Nigeria, where the first case of infection has been confirmed and isolated, the UN agency said it had “great confidence” that the country could contain the virus.
This was thanks to the fact that the country has had success in dealing with other disease outbreaks, such as Lassa fever and measles – and it had invested significantly to do so – said WHO’s Dr Mike Ryan, head of WHO’s Health Emergencies Programme.

Currently, more than 20 vaccines are in development around the world, along with several therapeutic medicines; the first results were expected within weeks, Tedros said.

Personal responsibility is critical

In the meantime, the best thing people can do is to be diligent about their personal hygiene, the UN health agency chief insisted, and look out for symptoms, which include a dry cough and fever, rather than a runny nose.

The preventative health advice is particularly important with regard to handwashing with soap or alcohol gels, sneezing or coughing into a tissue or the crook of your arm, and staying at home if you feel poorly.  

Explaining the implications of the latest threat assessment, Dr Ryan said that while it was the highest level of alert, the aim was to encourage countries to act, rather than alarm them.

“We need to keep this virus slowed down, because health systems around the world – and I mean North and South – are just not ready…the risk of spread has clearly increased but the risk of impact has also increased because of what we see in health systems around the world.

Time to act is now

“It’s time to prepare, it’s time to get ready. It’s time to act and people need to take a reality check now and really understand that an all-of-government and an all-of-society approach (is required). It’s time to act.”

Echoing the need for aggressive action such as that implemented by China, WHO’s Dr. Maria Van Kerkhove noted that other countries which had followed its lead has seen similar successes in containing the virus, resulting in valuable breathing space for their health systems.

“In Singapore, you look at what has happened in terms of the cases they have had; they’re now seeing a rapid decline in cases. You see what happened in Nepal, there was an onward transmission there. You see what’s happened in Viet Nam, where there were some cases and now there’s no further cases”, she said. “These are all examples of where countries have been successful in containing this.”

She added: “The point is, the earlier we act…and how robustly in those initial cases, will determine if you’re dealing with a number of cases, one case, or a small cluster, or if you’re dealing with hundreds or thousands.”

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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